Hepaticojejunostomy

Hepaticojejunostomy is a surgical procedure creating a connection between the hepatic duct (bile duct from liver) and jejunum (small intestine) to restore bile flow.

*Indications:*

1. Bile duct obstruction
2. Bile duct injury
3. Bile duct stricture
4. Pancreatic cancer
5. Cholangiocarcinoma (bile duct cancer)
6. Trauma
7. Congenital bile duct anomalies

*Surgical Techniques:*

1. Roux-en-Y hepaticojejunostomy (most common)
2. Hepaticojejunostomy with loop reconstruction
3. End-to-side hepaticojejunostomy

*Benefits:*

1. Restores bile flow
2. Relieves jaundice
3. Reduces risk of liver damage
4. Improves digestion
5. Enhances quality of life

*Risks and Complications:*

1. Infection
2. Bleeding
3. Bile leakage
4. Intestinal obstruction
5. Malabsorption
6. Liver failure
7. Pancreatitis

*Postoperative Care:*

1. Monitoring for complications
2. Pain management
3. Antibiotics
4. Fluid and electrolyte replacement
5. Follow-up imaging studies

*Outcome:*

1. Improved liver function
2. Reduced bilirubin levels
3. Enhanced digestion
4. Improved quality of life

#Hepaticojejunostomy

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